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Delivery of Financial Navigation Services Within National Cancer Institute-Designated Cancer Centers
Janet S de Moor1, Michelle Mollica1, Annie Sampson1
1Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.
JNCI Cancer Spectrum
|July 5, 2021
Summary
Cancer centers offer financial navigation services, but challenges remain in cost transparency and comprehensive patient support. Further capacity building is needed to ensure all patients receive adequate financial assistance.
Area of Science:
- Oncology
- Health Services Research
- Health Economics
Background:
- Cancer centers have a responsibility to assist patients with treatment costs.
- Financial navigation services are crucial for managing the financial burden of cancer care.
Purpose of the Study:
- To describe the availability of financial navigation services in National Cancer Institute (NCI)-designated cancer centers.
- To identify common challenges in providing financial navigation services.
Main Methods:
- An online survey, the NCI Survey of Financial Navigation Services and Research, was administered to NCI-designated cancer centers.
- Data were collected from July to September 2019, with a 90.5% response rate from 57 eligible centers.
Main Results:
- Nearly all centers provide assistance with pharmaceutical programs, insurance, nonmedical costs, and understanding bills.
- Less common services include medical debt management, treatment cost discussions, and legal guidance.
- Challenges include difficulty determining treatment costs (71.9%) and oncologists' reluctance to discuss finances (70.2%).
Conclusions:
- Cancer centers offer various financial services, but comprehensive navigation requires enhanced capacity.
- Further research is needed to understand patient referrals and the impact of these services.
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